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PERIIAIT APPLICATION <br /> BUILDINGIMECHQNICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Sl., Everett, WA 98201 425•257-8810 FAX 425•257-8857 w�w.everettwa.org <br /> SITEADDRESS: �OO,y , ry aL��n PRODEaTYTAxa a�i��Tro r o0 <br /> a 7 l5�'a J <br /> LEGAL lor new consinitlion. Shotl PlaUsubdivis�on_ lot No_ {attach coD'i ol bng legal desc�Pbon) <br /> OWNER I�CK� /�U ✓�S Phonc�E-ma:l tioG �a� l/9/ <br /> AdCress �I�9I SOk�-� S �� � City�StatG2iD ��SSOu'4 % /O�� <br /> APPLICANT:_Q+�ner __Ov.ne/sAgem �CoMraaor Contreuo/sAgent Tenan�����:ic�+�aeemcnmmosmirro�u<o.�riomwA��eesoa-�i <br /> CONTRACTOR Q/( 51' � 5 5 �NS State Lic. � /JGFS� Cily Bus.Lic.p � 6 <br /> Address � Q� �(�(,�(� ¢ 98ao3 P�one/Emad p( � .�3� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT p�a `_ I�Q[e�S <br /> Painless S�+�f in-�ofl .+ P�e�c�;,� r� �e. <br /> Phor.elE•mad new er � b«� 5; ��s ��,�«m <br /> BUILDINGPERMITAPPLICATION CONTRACTPRICEOFWORK 35�0 .°.° <br /> Ex�sling Use of Building HEAT SOURCE: <br /> Proposed Use of Buildirg_ Gas Electric O;her <br /> Building type: _Single Family _Duplex_Townhouse _Multi•Family __Commercial <br /> T e of ro'ecP. Ne,v Addilion Remodel Re air T.I. Si n S rink�er Demolition Chan e of Usc <br /> DESCRIPTIONOFWORK(admr�onalspaceprovrdedonNeback):XT�,���r� ��\ i��4ni��cr�r�+� �,.�c�ll .S( ��. <br /> 1 � <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo af Pro�oct: _Naw_Addn _Alterallon_Ropalr Type of ProJoct: _Now_Addn _Altoratlon_Ropalr <br /> ShowNumbor p olfirtures ShowNumber R o/flirfWas <br /> � FVC—air handlin uniis Toilet <br /> Farced av s stems BalhWb <br /> Gas i in Lavator wash basin <br /> Waler heater Shower <br /> Gas frc lacc Kilehen sink&dis sal <br /> Gas ran e Dishwashcr <br /> Clotlics d er Clothes washer <br /> Ran e trood Waten c�alcr <br /> Ezhauslfnn Sink servicelbaqmo /etc. <br /> Heal um Backllow reventer <br /> Urnt heater Urinal <br /> Boiler Drinkm foun4�in <br /> Refri eration Fluor drain <br /> Woodslove Grease lra <br /> Ducii Roof drains <br /> OIhEf Alediwl Gas <br /> $PRINKLER I SUPPRESSION SYSTEM Other: <br /> Numher o(Hcads Other: <br /> i hre�y cenM�hal 1�ave reaE nM c�immeU Ih5 appralon and Anow tho same io be tvo and cartM.Ali pmvBqre al la+rs anA c�dnuzes paverrorg Ih6�9a ol vrak wil be cpnp <br /> wn�wfrefiM specRKd�erein or�wl.T�e gnnlmA ol a pertn�Cces not 0'esmne ro gne authoi+y lo vqlate or wricN rtw D��aron ol any oCier stata or local law rn8ulatinp cortliu<Iron <br /> ihal l am aui�Ibe owner ol ihs pmperty lo Pedomi I�e worA lorwhch a�P��`�i�¢m.adu anJ I cemOH wAh Ihe Slalo Convactors L�w 1817 RCW ai 'P9G 200A WAC <br /> � yA i f I �/ <br /> �u!ti—� `��'6�1 <br /> OwnorlAuthorizod ant5lgnatura Date (ReviseAO/z01d) �' <br /> Z <br />